Journal of the Practice of Cardiovascular Sciences最新文献_第5页

I look into the chest: History and evolution of stethoscope 我看胸腔:听诊器的历史和演变

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Journal of the Practice of Cardiovascular Sciences Pub Date : 2022-01-01 DOI: 10.4103/jpcs.jpcs_77_22

Rony Vincent

引用次数: 1

Predictors of response to cardiac resynchronization therapy: A prospective observational study 对心脏再同步化治疗反应的预测因素:一项前瞻性观察研究

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Journal of the Practice of Cardiovascular Sciences Pub Date : 2022-01-01 DOI: 10.4103/jpcs.jpcs_2_22

Jignesh Parikh, R. Patil, Ajitkumar Jadhav

{"title":"Predictors of response to cardiac resynchronization therapy: A prospective observational study","authors":"Jignesh Parikh, R. Patil, Ajitkumar Jadhav","doi":"10.4103/jpcs.jpcs_2_22","DOIUrl":"https://doi.org/10.4103/jpcs.jpcs_2_22","url":null,"abstract":"Introduction: Cardiac resynchronization therapy (CRT) has revolutionized the treatment of cardiac dyssynchrony in chronic heart failure (HF), yet, complications and failures are reported in some patients. We aim to determine the predictors of response to CRT through clinical, electrocardiographic ECG, and echocardiographic assessment of patients following CRT and recommend the best practices to achieve optimum results for patients. Methodology: We analyzed the history, clinical examination, brain natriuretic peptide (BNP) levels, ECG, and echocardiography findings of 35 patients before CRT and on day 7 and day 180 following CRT. Observations: 71.4% of patients responded to CRT and 28.6% were nonresponders. The responders had fewer hospitalizations for HF. They showed a significant improvement in the New York Heart Association (NYHA) class, mean 6 min walk distance (6MWD), BNP level, QRS duration, and echocardiographic parameters on day 7 and day 180. The duration of HF ≤3 years, NYHA class III–IV symptoms, baseline 6MWD ≥240 m, QRS duration ≥150 ms, LVEF ≥25%, septal to posterior wall motion delay ≥130 ms, and mean pulmonary arterial pressure <50 mmHg were identified as the strong predictors of response to CRT. Recommendations: Patients with symptomatic HF should undergo early CRT to reduce recurrent hospitalizations and those with NYHA Class III–IV symptoms should be offered CRT before the duration of HF exceeds 3 years. BNP levels and echocardiography are invaluable tools to assess outcomes following therapy. A multiparametric, echocardiographic approach is helpful in selecting patients likely to undergo reverse remodeling after CRT and predicting outcomes.","PeriodicalId":17503,"journal":{"name":"Journal of the Practice of Cardiovascular Sciences","volume":"8 1","pages":"35 - 41"},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48280777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Applying resting global longitudinal strain by two-dimensional speckle tracking as a noninvasive diagnostic tool in predicting coronary artery disease 利用二维散斑跟踪静息全局纵向应变作为无创诊断工具预测冠状动脉疾病

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Journal of the Practice of Cardiovascular Sciences Pub Date : 2022-01-01 DOI: 10.4103/jpcs.jpcs_15_21

R. Sankaran, S. Sadhanandham, N. Senguttuvan, T. Muralidharan, V. Balakrishnan, Manokar Panchanatham, Dasarath Boppana, J. Balasubramaniyan

引用次数: 0

Echocardiographic assessment of left ventricular ejection fraction recovery after primary percutaneous coronary intervention in patients under 40 years of age 40岁以下患者经皮冠状动脉介入治疗后左室射血分数恢复的超声心动图评价

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Journal of the Practice of Cardiovascular Sciences Pub Date : 2022-01-01 DOI: 10.4103/jpcs.jpcs_10_22

I. Balouch, K. Khan, SajidAli Shaikh, S. Rasheed, M. Khalid, I. Ahmed, J. Sial, N. Qamar

引用次数: 0

An unusual case of isolated symmetric bilateral peripheral artery disease of the radial artery of the index finger in systemic sclerosis: A case report and literature review 系统性硬化症中孤立性对称双侧外周动脉病变1例:报告1例并文献复习

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Journal of the Practice of Cardiovascular Sciences Pub Date : 2022-01-01 DOI: 10.4103/jpcs.jpcs_20_22

Debasish Das, A. Banerjee, Abhinav Kumar, S. Singh, Subhash R. Pramanik

引用次数: 0

Emotional intelligence 情商

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Journal of the Practice of Cardiovascular Sciences Pub Date : 2022-01-01 DOI: 10.4103/jpcs.jpcs_35_22

L. Giray

引用次数: 0

Clinical evaluation of heart failure: A clinical case discussion of a patient with rheumatic heart disease 心力衰竭的临床评价:一例风湿性心脏病患者的临床病例讨论

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Journal of the Practice of Cardiovascular Sciences Pub Date : 2022-01-01 DOI: 10.4103/jpcs.jpcs_29_22

M. Mantoo, Vibhav Sharma, S. Chaudhary, S. Seth

引用次数: 0

Ehlers–Danlos syndrome Type VI with mitral valve prolapse and regurgitation ehers - danlos综合征伴有二尖瓣脱垂和返流

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Journal of the Practice of Cardiovascular Sciences Pub Date : 2022-01-01 DOI: 10.4103/jpcs.jpcs_40_22

S. Acharya, Sandeep Kamat, S. Shukla, Anamika Giri, S. Sushanth Kumar

引用次数: 1

An unusual association of left-sided inferior vena cava with slow-fast atrioventricular reentrant tachycardia 左侧下腔静脉与慢速房室折返性心动过速的不寻常关联

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Journal of the Practice of Cardiovascular Sciences Pub Date : 2022-01-01 DOI: 10.4103/jpcs.jpcs_46_21

Debasish Das, Tutan Das, Subhash R. Pramanik

引用次数: 0

A rare case of premature and parallel posterior descending artery and posterior left ventricular branch with conus crossing the right ventricular outflow tract causing provocative coronary ischemia 一例罕见的早发平行后降支和左心室后支圆锥穿过右心室流出道引起挑衅性冠状动脉缺血的病例

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Journal of the Practice of Cardiovascular Sciences Pub Date : 2022-01-01 DOI: 10.4103/jpcs.jpcs_50_21

Debasish Das, Tutan Das, S. Singh, J. Gupta, Subhash R. Pramanik

{"title":"A rare case of premature and parallel posterior descending artery and posterior left ventricular branch with conus crossing the right ventricular outflow tract causing provocative coronary ischemia","authors":"Debasish Das, Tutan Das, S. Singh, J. Gupta, Subhash R. Pramanik","doi":"10.4103/jpcs.jpcs_50_21","DOIUrl":"https://doi.org/10.4103/jpcs.jpcs_50_21","url":null,"abstract":"We report a rarely encountered case of premature and parallel posterior descending artery (PDA) and posterior left ventricular branch (PLVB) in a case of 22-year-old male with effort angina Class II for the last 6 months in whom treadmill test (TMT) was strongly positive for provocative coronary ischemia with structurally normal heart and good biventricular function. Interestingly, all the coronaries were normal without any obstructive coronary lesion. Paradoxically, those two prematurely separating branches were small making the distal right coronary artery (RCA) territory relatively ischemic attributing toward a strongly positive TMT. Small anomalous coronary is a well-known cause of demand ischemia, but our case is unique to describe small prematurely originating PDA and PLVB were the culprit behind coronary ischemia in a young male without conventional risk factors. Furthermore, much premature separation of PDA and PLVB is rarely encountered in routine clinical practice, and recognition of this anomaly is important as it should not be mistaken for duplicate RCA, dual RCA, or split RCA. Our case is also unique to illustrate the association of the premature and parallel PDA and PLVB with a conus crossing the right ventricular outflow tract without the presence of structural heart disease.","PeriodicalId":17503,"journal":{"name":"Journal of the Practice of Cardiovascular Sciences","volume":"8 1","pages":"45 - 47"},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48315418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1